CHENEVERT FAMILY FOUNDATION INC: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHENEVERT FAMILY FOUNDATION INC (EIN 27-0886303)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-03-28
IRS object ID
201330879349100408
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-03-28T16:39:50-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN061533253EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SASLOW LUFKIN & BUGGY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1TEN TOWER LANEAddressLine1
CityAVONCity
StateCTState
ZIP Code06001ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN270886303EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHENEVERT FAMILY FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHENNameControl
Phone8606777982Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18 ATWATER TERRACEAddressLine1
CityFARMINGTONCity
StateCTState
ZIP Code06032ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLOUIS R CHENEVERTName
TitlePRESIDENTTitle
Phone8607287669Phone
Date Signed2013-03-19DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRICHARD BUGGYName
PTINP00512316PTIN
Phone8606789200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY961097FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss867953ContriReceivedRevAndExpnss
Interest On Savings Rev And Expnss7InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm7InterestOnSavingsNetInvstIncm
Dividends Rev And Expnss19761DividendsRevAndExpnss
Dividends Net Invst Incm19761DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss531NetGainSaleAssetsRevAndExpnss
Gross Sales Price531GrossSalesPrice
Capital Gain Net Incm Net Invst Incm531CapitalGainNetIncmNetInvstIncm
Other Income Rev And Expnss644OtherIncomeRevAndExpnss
Other Income Net Invst Incm644OtherIncomeNetInvstIncm
Total Revenue And Expenses888896TotalRevenueAndExpenses
Total Net Investment Income20943TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss10000CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm0CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps10000CompOfcrDirTrstDsbrsChrtblPrps
Accounting Fees Rev And Expnss3675AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm0AccountingFeesNetInvstIncm
Accounting Fees Dsbrs Chrtbl Prps3675AccountingFeesDsbrsChrtblPrps
Taxes Rev And Expnss83TaxesRevAndExpnss
Taxes Net Invst Incm0TaxesNetInvstIncm
Taxes Dsbrs Chrtbl Prps83TaxesDsbrsChrtblPrps
Trav Conf Meeting Rev And Expnss256TravConfMeetingRevAndExpnss
Trav Conf Meeting Net Invst Incm0TravConfMeetingNetInvstIncm
Trav Conf Meeting Dsbrs Chrtbl Prps256TravConfMeetingDsbrsChrtblPrps
Other Expenses Rev And Expnss190OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm190OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps0OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss14204TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm190TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps14014TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss50800ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps50800ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss65004TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm190TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps64814TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses823892ExcessOfRevenueOverExpenses
Net Investment Income20753NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY15931SavingsAndTempCashInvstBOY
Investments Corp Stock BOY0InvestmentsCorpStockBOY
Investments Corp Stock EOY867953InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV847491InvestmentsCorpStockEOYFMV
Investments Other BOY104815InvestmentsOtherBOY
Investments Other EOY109252InvestmentsOtherEOY
Investments Other EOYFMV113606InvestmentsOtherEOYFMV
Total Assets BOY120746TotalAssetsBOY
Total Assets EOY977205TotalAssetsEOY
Total Assets EOYFMV961097TotalAssetsEOYFMV
Accounts Payable EOY32341AccountsPayableEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY32341TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Capital Stock BOY0CapitalStockBOY
Capital Stock EOY0CapitalStockEOY
Paid In Or Capital Surplus BOY0PaidInOrCapitalSurplusBOY
Paid In Or Capital Surplus EOY0PaidInOrCapitalSurplusEOY
Retained Earnings BOY120746RetainedEarningsBOY
Retained Earnings EOY944864RetainedEarningsEOY
Total Net Assets BOY120746TotalNetAssetsBOY
Total Net Assets EOY944864TotalNetAssetsEOY
Total Liabilities Net Assets BOY120746TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY977205TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY120746TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses823892ExcessOfRevenueOverExpenses
Other Increases226OtherIncreases
Subtotal944864Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY944864TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo

FieldValueIRS element (for citing)
Description Of AssetCAPITAL GAINS DIVIDENDSDescriptionOfAsset
How AcquiredPHowAcquired
Gross Sales Price531GrossSalesPrice
Gain Or Loss531GainOrLoss
Gains Minus Excess Or Losses531GainsMinusExcessOrLosses
FieldValueIRS element (for citing)
Capital Gain Net Income531CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year153588QualifyingDistributionsYear1
Noncharitable Assets Year1110515NoncharitableAssetsYear1
Distribution Ratio Year10.484893DistributionRatioYear1
Qualifying Distributions Year273269QualifyingDistributionsYear2
Noncharitable Assets Year2107787NoncharitableAssetsYear2
Distribution Ratio Year20.679757DistributionRatioYear2
Qualifying Distributions Year380000QualifyingDistributionsYear3
Noncharitable Assets Year378330NoncharitableAssetsYear3
Distribution Ratio Year31.021320DistributionRatioYear3
Total Distribution Ratio2.185970TotalDistributionRatio
Average Distribution Ratio0.728657AverageDistributionRatio
Net Noncharitable Assets788570NetNoncharitableAssets
Adjusted Noncharitable Assets574597AdjustedNoncharitableAssets
One Percent Net Investment Income208OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One574805AdjNonchrtblAssetsAndOnePct
Qualifying Distributions64814QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax415InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal415Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income415TaxBasedOnInvestmentIncome
Total Credits And Payments0TotalCreditsAndPayments
Tax Due415TaxDue

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political Activities0LegislativePoliticalActivities
More Than100 Spent0MoreThan100Spent
Form1120 POL Filed0Form1120POLFiled
Sect4955 Tax On Organization0Sect4955TaxOnOrganization
Sect4955 Tax On Managers0Sect4955TaxOnManagers
Reimbursement Of Tax0ReimbursementOfTax
Activities Not Prev Reported0ActivitiesNotPrevReported
Changes To Articles Or Bylaws0ChangesToArticlesOrBylaws
Unrelated Bus Income Over10000UnrelatedBusIncomeOver1000
Termination Etc0TerminationEtc
Requirements Of Sect508e1RequirementsOfSect508e
At Least5000 In Assets1AtLeast5000InAssets
States Filed WithCTStatesFiledWith
Form990 PF Filed With AG1Form990PFFiledWithAG
Private Operating Foundation0PrivateOperatingFoundation
New Substantial Contributors1NewSubstantialContributors
Interest In Controlled Entity0InterestInControlledEntity
Applicable Insurance Contract0ApplicableInsuranceContract
Comply With Public Inspection Rqr1ComplyWithPublicInspectionRqr
Website AddressN/AWebsiteAddress

Books In Care Of Business Name BooksInCareOfBusinessName

FieldValueIRS element (for citing)
Business Name Line1DEBRA L CHENEVERTBusinessNameLine1
FieldValueIRS element (for citing)
Books In Care Of Phone Number8606777982BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line18 ATWATER TERRACEAddressLine1
CityFARMINGTONCity
StateCTState
ZIP Code06032ZIPCode
FieldValueIRS element (for citing)
Foreign Bank0ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly Person0SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person0BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person0FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person0PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person0TransferAssetsToDsqflyPerson
Payment To Government Offical0PaymentToGovernmentOffical
Uncorrected Prior Acts0UncorrectedPriorActs
Undistributed Income Prior Years0UndistributedIncomePriorYears
Business Holdings0BusinessHoldings
Jeopardy Investments0JeopardyInvestments
Uncorrected Jeopardy Investments0UncorrectedJeopardyInvestments
Influence Legislation0InfluenceLegislation
Influence Election0InfluenceElection
Grants To Individuals0GrantsToIndividuals
Grants To Organizations0GrantsToOrganizations
Noncharitable Purpose0NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract0RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract0PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn0ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
LOUIS R CHENEVERT
8 ATWATER TERRACEFARMINGTONCT06032CHAIRMAN AND PRESIDENT1.00000
DEBRA L CHENEVERT
8 ATWATER TERRACEFARMINGTONCT06032SECRETARY AND TREASURER1.00000
LISA CHENEVERT KRAUSE
33 PORTAGE CROSSINGFARMINGTONCT06032DIRECTOR1.00500000
SOPHIE CHENEVERT SCHILKE
56 TRUESDALE LAKE DRIVESOUTH SALEMNY10590DIRECTOR1.00500000
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
Tot Number Of Oth Empl Paid Over50k0TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k0TotNumberOfCntrctPaidOver50k

Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy

FieldValueIRS element (for citing)
Description1ONE CONTRIBUTION OF $48,200 TO CONNECTICUT CHILDREN'S HOSPITAL IN 2012.Description1
Expenses10Expenses1
Description2ONE CONTRIBUTION OF $2,500 TO THE CATHEDRAL OF SAINT JOSEPH IN 2012.Description2
Expenses20Expenses2
Description3ONE CONTRIBUTION OF $100 TO THE UNIVERSITY OF NORTH DAKOTA IN 2012.Description3
Expenses30Expenses3

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
All Oth Prog Rltd Investments Total0AllOthProgRltdInvestmentsTotal
Total0Total

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities787725AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances12854AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets800579TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets800579AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable12009CashDeemedCharitable
Net Noncharitable Assets788570NetNoncharitableAssets
Minimum Investment Return39429MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return39429MinimumInvestmentReturn
Tax Based On Investment Income415TaxBasedOnInvestmentIncome
Total Tax415TotalTax
Distributable Amount Before Adj39014DistributableAmountBeforeAdj
Recoveries Qlfy Distributions0RecoveriesQlfyDistributions
Distributable Amount Before Ded39014DistributableAmountBeforeDed
Deduction Fr Distributable$0DeductionFrDistributableAmount
Distributable Amount As Adjusted39014DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions64814ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions64814QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm0OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions64814AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted39014DistributableAmountAsAdjusted
Undistributed Income Prior Year0UndistributedIncomePriorYear
Total For Prior Years0TotalForPriorYears
Excess Distri Carryover Year378573ExcessDistriCarryoverYear3
Excess Distri Carryover Year267943ExcessDistriCarryoverYear2
Excess Distri Carryover Year148145ExcessDistriCarryoverYear1
Total Excess Distri Carryover194661TotalExcessDistriCarryover
Qualifying Distributions64814QualifyingDistributions
Applied To Year10AppliedToYear1
Applied To Prior Years0AppliedToPriorYears
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year39014AppliedToCurrentYear
Remaining Distri From Corpus25800RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus0ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY0ExcessDistriCyovAppliedCY
Total Corpus220461TotalCorpus
Prior Year Undistributed Income0PriorYearUndistributedIncome
Prior Year Deficiency Or Tax0PriorYearDeficiencyOrTax
Taxable Amount10TaxableAmount1
Taxable Amount20TaxableAmount2
Undistributed Income CY0UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g30DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year50ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year220461ExcessDistriCyovToNextYear
Excess From Year378573ExcessFromYear3
Excess From Year267943ExcessFromYear2
Excess From Year148145ExcessFromYear1
Excess From Current Year25800ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Contributing ManagerLOUIS R CHENEVERTContributingManager

Appication Submission Info AppicationSubmissionInfo

FieldValueIRS element (for citing)
Recipient NameLOUIS R CHENEVERTRecipientName

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line18 ATWATER TERRACEAddressLine1
CityFARMINGTONCity
StateCTState
ZIP Code06032ZIPCode
FieldValueIRS element (for citing)
Recipient Phone Number8606777982RecipientPhoneNumber
Form And Info And MaterialsNO SPECIAL FORM REQUIRED. LETTER TO FOUNDATION MANAGER WILL SUFFICE.FormAndInfoAndMaterials
Submission DeadlinesNONE.SubmissionDeadlines
Restrictions On AwardsTHE PRIMARY ACTIVITIES OF THE FOUNDATION SHALL BE THE MAKING OF GRANTS TO DOMESTIC ORGANIZATIONS WHICH QUALIFY AS CHARITABLE, EDUCATIONAL AND/OR RELIGIOUS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND WHICH SHALL BE TAX EXEMPT UNDER SECTION 501(A), AND CONTRIBUTIONS TO WHICH SHALL BE TAX DEDUCTIBLE UNDER SECTION 170(C)(2).RestrictionsOnAwards

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (3 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
THE CATHEDRAL OF SAINT JOSEPH
140 FARMINGTON AVENUEHARTFORDCT06105N/ACHARITYPARISH SUPPORT$2,500
UNIVERSITY OF NORTH DAKOTA
264 CENTENNIAL DRIVEGRAND FORKSND58202N/ACHARITYUNIVERSITY SUPPORT$100
CONNECTICUT CHILDREN'S MEDICAL CENTER
282 WASHINGTON STREETHARTFORDCT06106N/ACHARITYFUNDING FOR MEDICAL RESEARCH AND HEALTH CARE$48,200
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year50800TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future0TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$7ExclusionAmount

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$19,761ExclusionAmount

Other Investment Income Part VII OtherInvestmentIncomePartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$644ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$531ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$20,943ExclusionAmount
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA20943TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EO0TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO0TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO0PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc0RentalOfFacilitiesEtc
Reimbursement Arrangements0ReimbursementArrangements
Loans Or Loan Guarantees0LoansOrLoanGuarantees
Performance Of Services Etc0PerformanceOfServicesEtc
Sharing Of Facilities Etc0SharingOfFacilitiesEtc
Relationships Noncharitable E Os0RelationshipsNoncharitableEOs

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFXOrganization501c3ExemptPF
General RuleXGeneralRule

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor Number1ContributorNumber
Contributor Name IndividualLOUIS R CHENEVERTContributorNameIndividual

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line18 ATWATER TERRACEAddressLine1
CityFARMINGTONCity
StateCTState
ZIP Code06032ZIPCode
FieldValueIRS element (for citing)
Aggregate Contributions867953AggregateContributions
Noncash Contribution TypeXNoncashContributionType

Noncash Property NoncashProperty

FieldValueIRS element (for citing)
Contributor Number From Part I1ContributorNumberFromPartI
Noncash Property Description10,334 SHARES UNITED TECHNOLOGIES CORP COMMON STOCKNoncashPropertyDescription
Fair Market Value867953FairMarketValue
Date Received2012-03-03DateReceived

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategory
Amount$3,675Amount
Net Investment Income0NetInvestmentIncome
Disbursements Charitable Prps3675DisbursementsCharitablePrps

All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch

All Oth Prog Rltd Investments AllOthProgRltdInvestments

FieldValueIRS element (for citing)
DescriptionNONEDescription
Amount$0Amount

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock

FieldValueIRS element (for citing)
Name Of StockUNITED TECHNOLOGIES CORPNameOfStock
EOY Book Value867953EOYBookValue
EOYFMV847491EOYFMV

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther (4 entries)

Category Or ItemCategoryOrItemListed At Cost Or FMVListedAtCostOrFMVBook ValueBookValueEOYFMVEOYFMV
MFS RESEARCH BOND CL CFMV2542827602
OPPENHEIMER INTERNATL BOND FUNDFMV2678427405
PIMCO TOTAL RETURN FUNDFMV2775828327
FIDELITY ADV STRATEGIC INCOME FUNDFMV2928230272

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
MERRILL LYNCH ANNUAL FEE1501500
MERRILL LYNCH PREPAYMENT CHARGE40400

Other Income Schedule2 OtherIncomeSchedule2

Other Income OtherIncome

FieldValueIRS element (for citing)
DescriptionFIDELITY ADV STRATEGIC - OTHER DISTR.Description
Revenue And Expenses Per Books644RevenueAndExpensesPerBooks
Net Investment Income644NetInvestmentIncome
Adjusted Net Income644AdjustedNetIncome

Other Increases Schedule OtherIncreasesSchedule

Other Increases OtherIncreases

FieldValueIRS element (for citing)
DescriptionCOST BASIS ADJUSTMENTDescription
Amount$226Amount

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor SubstantialContributor

FieldValueIRS element (for citing)
Person NameLOUIS R CHENEVERTPersonName

US Address USAddress

FieldValueIRS element (for citing)
Address Line18 ATWATER TERRACEAddressLine1
CityFARMINGTONCity
StateCTState
ZIP Code06032ZIPCode

Taxes Schedule TaxesSchedule

Taxes Taxes

FieldValueIRS element (for citing)
CategoryEXCISE TAX ON INV. INCOMECategory
Amount$83Amount
Net Investment Income0NetInvestmentIncome
Disbursements Charitable Prps83DisbursementsCharitablePrps

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